鼻翼

BACKGROUND: Nasal alar cartilage constitutes the main component of the lower 1/3 of the nose, that is, nose tip, nose wing, and nasal columella, its structure has a decisive role on the nose shape, especially the tip of the nose shape.

摘要背景：鼻翼软骨是构成鼻下部1/3，即鼻尖、鼻翼和鼻小柱形状的主要成份，其结构对鼻部外形，尤其是鼻尖形状具有决定性作用。

The surgery was performed according to the varying degrees of nasal deformity, including anatomical repositioning of the nasal muscle, the alar cartilages and cut, and correction nasal deformity with transplant of prothesis to correct nasal deformities and nasal columella.

根据鼻畸形的不同程度进行鼻肌肉的解剖复位，鼻翼外侧脚悬吊，内侧脚切断移位固定，以及假体塑形后移植，纠正鼻翼和鼻小柱的畸形。

After nasal alar compound tissue was freed to elevate nasal alar as a result the base of the nasal alar was higher than nasal columella.

游离鼻翼复合体，提升鼻翼，使鼻翼基底高于鼻小柱，使鼻尖和鼻小柱前突，矫正下垂的鼻翼畸形。

It suggested that under static status, the nasal septum, nasal columella and the lateral feet of nasal alar were the most concentrated areas of stress distribution. They are key mechanical parts of deformed nasal.3.2 Nasal displacement load analysis of patients with unilateral cleft lip and nasal alar collapse Deformed nasal displacement load three-dimensional finite element analysis showed that if the ipsilateral and contralateral nasal parts obtain similar geometry, the positions around nasal columella in ipsilateral nostril were the most stress concentrated region, next parts were the nasal septum and the lateral nasal alar.

提示静态状态下，鼻中隔、鼻小柱和两侧鼻翼外侧角是应力分布最集中部位，也是畸形鼻部的关键力学部位。3.2单侧唇裂鼻翼塌陷畸形患者的鼻部位移载荷形变后力学分析单侧唇裂鼻畸形患者的位移载荷三维有限元分析表明，畸形鼻部的患侧要获得和健侧近似的几何形态，其患侧鼻孔近鼻小柱周围应力分布最为集中，其次为鼻中隔和患侧鼻翼外方。

Methods we developed a surgical technique to correct short nose by increase tissue volume in nasal tip ,nasal alae and the columella. The technique contain three steps:① Wide dissection and prolongation of the outer skin envelope to cover the lengthened framework by a "V" formed surgical approach from columellar base to inner edge of alae.②Silicone or expanded polytetrafluoroethylene implant is used to correct saddle nose and to length nasal framework.③A papilionaceous concha composite graft containing a elliptic ear cartilage and a onlay "V" formed skin and subcutaneous tissue is grafted to inner edge of columella and alae. Results we performed the procedure on 8 patients.

通过8例短鼻缺陷受术者采用蝶形复合耳郭组织游离移植到鼻尖鼻翼以增加鼻尖鼻翼的组织量以达到延长短鼻的目的，手术分为三个步骤：首先从鼻小柱基底到两侧鼻翼内缘做V形切口，广泛分离鼻尾端皮肤粘膜；然后，通过硅胶或ePTFE假体材料间插并缝合于两侧大翼软骨之间延长鼻尖部软骨支架；最后，将蝶形耳后复合组织块移植到切口部以增加鼻尖鼻翼部的组织量，术后观察该法延长短鼻的实际效果。

objectiveto evaluate and explore the reconstruction technique of straddling region reversal flow axial composite auricular island flap with blood-supply from supraorbital artery or supratrochlear artery for repairing large alar defects.methodsfrom may of 2004 to macth of 2008, 6 patients with the lager alar defects were studied.

目的：探讨以眶上动脉或滑车上动脉为供血源的跨区反流轴型耳廓复合组织岛状瓣，修复大面积鼻翼缺损的临床应用特点。方法：从2004年5月～2008年3月间，我科选用游离眶上动脉或滑车上动脉与颞浅动脉额支的吻合支为供血源所营养耳廓复合组织瓣，经皮下隧道转移至鼻翼缺损区，ⅰ期修复6例大面积的鼻翼缺损的患者。

Methods Transplantation of whole or partial free auricle composite tissue was designed in reconstruction of alae nasi.Partial auricle composite tissue transplantation was used in 14 patients,the area of the graft was 1.0cm×1.5cm～1.9cm×2.5cm.

采用全层或部分耳廓复合组织游离移植的方法修复鼻翼缺损20例，其中以鼻翼残存瘢痕组织翻转作衬里，然后进行部分耳廓复合组织游离移植14例，移植物面积最小1.0cm×1.5cm，最大1.9cm×2.5cm；利用耳廓复合组织全层嵌入游离移植修复鼻翼缺损者6例，移植物面积最小0.5cm×0.5cm，最大0.8cm×1.2cm。

objective to introduce a method for repair of defects of alae nasi.methods transplantation of whole or partial free auricle composite tissue was designed in reconstruction of alae nasi.partial auricle composite tissue transplantation was used in 14 patients,the area of the graft was 1.0cm×1.5cm～1.9cm×2.5cm.whole auricle composite tissue transplantation was used in 6 patients,the area of the graft was 0.5cm×0.5cm～0.8cm×1.2cm.results all grafts survived.the grafts were dark red or light red in color,there were no blisters on them.follow-up of more than six months showed good results.conclusion in many methods for repair of defects of alae nasi,this method is simple,the appearance of alae nasi is good after operation and there is no new scar on face.

目的 修复鼻翼缺损。方法采用全层或部分耳廓复合组织游离移植的方法修复鼻翼缺损20例，其中以鼻翼残存瘢痕组织翻转作衬里，然后进行部分耳廓复合组织游离移植14例，移植物面积最小1.0cm×1.5cm，最大1.9cm×2.5cm；利用耳廓复合组织全层嵌入游离移植修复鼻翼缺损者6例，移植物面积最小0.5cm×0.5cm，最大0.8cm×1.2cm。结果 20例移植组织全部成活。色泽呈暗红至淡红不等，无水泡。随访半年移植物色泽与鼻组织基本近似，供区隐蔽。结论在诸多鼻翼缺损修复方法中，该方法简便易行、术后鼻翼外形好，面部显著部位不增加新的瘢痕，有独到优越性。

Methods Through the incision of the inner margin of the nostril, the connection tissues of nasal tip from the cartilage to skin were dissected, followed by a buried suture between two lateral crura.

方法通过鼻翼内缘切口分离部分鼻翼软骨和皮肤的连接，埋线收紧两侧鼻翼软骨的外侧脚，缩窄鼻尖底部并凸显鼻翼沟，以达到鼻尖缩小和改形的目的。

During operation, an intranasal and marginal combining incision was made to expl ore the alar cartilages and to from a mucosal-cartilage flap in the nasal vest ibule. After the deformity of septal cartilage and the abnormalities of the alar base on the cleft side were repaired, the total alar cartilage was repositioned and rotated with suspension and V-Y advancement to correct the nasal deformiti es. Results Since 1993, a total of 92 cases were treated by the above p rocedure and satisfactory results were obtained.

手术经鼻端和患侧前庭联合切口，解剖、显露双侧鼻翼软骨，同时形成患侧前庭粘膜软骨瓣；在纠正鼻中隔软骨偏曲，松解患侧鼻肌复合体起点，使鼻翼脚无张力抬高后，再通过悬吊技术和粘膜软骨瓣的V-Y推进，将患侧鼻翼软骨进行整体旋转复位；最后，应用口轮匝肌上部纤维内收抬高鼻翼脚，用鼻肌复合体起点复位调整鼻孔形态，完成鼻畸形的矫正。

This one mode pays close attention to network credence foundation of the businessman very much.

这一模式非常关注商人的网络信用基础。

Cell morphology of bacterial ghost of Pasteurella multocida was observed by scanning electron microscopy and inactivation ratio was estimated by CFU analysi.

扫描电镜观察多杀性巴氏杆菌细菌幽灵和菌落形成单位评价遗传灭活率。